Active NPI
Sydney Elizabeth Jacobson, R.D.
- Registered Dietitian
- Altoona, IA
National Provider Identifier
1679814461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001953
- Practice address
- 1510 20TH Ave SE
Altoona, IA 50009-2158 - Phone
- (515) 279-4225
- NPI assigned
- Mar 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001953 | IA | Primary |
Addresses
Primary practice location
1510 20TH Ave SE
Altoona, IA 50009-2158
Mailing address
1510 20TH Ave SE
Altoona, IA 50009-2158
Phone (515) 851-0649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001953 | IA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1679814461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 20TH AVE SE",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500092158",
"telephone_number": "515-851-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 20TH AVE SE",
"city": "ALTOONA",
"state": "IA",
"postal_code": "500092158",
"telephone_number": "515-279-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBSON",
"first_name": "SYDNEY",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-05",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "001953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.